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[产科病理学的一种罕见并发症:输尿管子宫瘘]

[A rare complication of obstetric pathology: uretero-uterine fistula].

作者信息

Natta F, Gioanetti N R, Zanon C, Alluminio P, Ballario F

机构信息

Divisione di Chirurgia Generale, Regione Piemonte-USSL 39, Presidio Ospedaliero Chivasso TO.

出版信息

Minerva Ginecol. 1993 Oct;45(10):507-10.

PMID:8278085
Abstract

Accidental iatrogenic injuries of ureters and bladder in patients with abdominal and pelvic pathology are described as a possible lesion of a surgical or gynaecologic treatment. The ureteral lesion is less frequent in obstetric surgery, but the young age of the patients and the gravity of the consequences, impose a very serious problem for a early diagnosis with a conservative surgical treatment. On the contrary, this important injury, bears an important surgical management with possible functional damage of the reno-urinary tract. The Authors report the experience about the observation and treatment of a case of a young woman, 29 years old, who had a uretero-uterine fistula, after a cesarean section for the first pregnancy.

摘要

腹部和盆腔病变患者输尿管和膀胱的医源性意外伤害被描述为手术或妇科治疗可能造成的损伤。输尿管损伤在产科手术中较少见,但患者年龄较轻且后果严重,给早期诊断和保守手术治疗带来了非常严重的问题。相反,这种严重损伤需要重要的手术处理,可能会对泌尿系统造成功能性损害。作者报告了一名29岁年轻女性的观察和治疗经验,该患者在首次剖宫产术后出现输尿管子宫瘘。

相似文献

1
[A rare complication of obstetric pathology: uretero-uterine fistula].[产科病理学的一种罕见并发症:输尿管子宫瘘]
Minerva Ginecol. 1993 Oct;45(10):507-10.
2
[Uretero-uterine fistula after caesarian section. A report on one case (author's transl)].剖宫产术后输尿管子宫瘘。1例报告(作者译)
J Urol (Paris). 1980;86(9):691-4.
3
Evaluation and treatment of iatrogenic ureteral injuries during obstetric and gynecologic operations for nonmalignant conditions.非恶性疾病妇产科手术中医源性输尿管损伤的评估与治疗
J Am Coll Surg. 1994 Feb;178(2):144-8.
4
Vesicouterine fistula presenting with urinary incontinence after primary cesarean section: a case report.原发性剖宫产术后出现尿失禁的膀胱子宫瘘:一例报告
J Reprod Med. 2007 Dec;52(12):1107-8.
5
[A case of uretero-uterine fistula following cesarean section].[剖宫产术后输尿管子宫瘘一例]
Akush Ginekol (Sofiia). 1973;12(2):153-5.
6
[A case of uretero-uterine fistula following cesarean section treated by uretero-ureterostomy].[1例剖宫产术后输尿管子宫瘘经输尿管输尿管吻合术治疗的病例]
Acta Urol Belg. 1986;54(1):57-9.
7
[Ureteral injuries in gynaecologic surgery].[妇科手术中的输尿管损伤]
Tunis Med. 2006 Oct;84(10):617-20.
8
Urinary tract injury during cesarean section.
Obstet Gynecol. 1982 Nov;60(5):591-6.
9
Vesicocervical fistula: rare complication of cesarean section demonstrated by magnetic resonance imaging.膀胱宫颈瘘:磁共振成像显示的剖宫产罕见并发症
Urology. 2005 Jan;65(1):174. doi: 10.1016/j.urology.2004.07.001.
10
Vesicouterine fistula: a rare complication of cesarean section.
Obstet Gynecol. 1983 Sep;62(3 Suppl):64s-66s.

引用本文的文献

1
Utero-cecal fistula in a doe.一只母鹿出现子宫-盲肠瘘。
Can Vet J. 1996 Oct;37(10):619-20.